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Jenna Lyn Ficken

Student in an Organized Health Care Education/Training Program in Manhattan, KS. Individual provider (NPI-1).

NPI number1316630098
StatusActive
Last updated in NPPESJun 1, 2023

Details

NPI
1316630098
Entity type
Individual (NPI-1)
Name
Jenna Lyn Ficken
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2023
Certification date
Jun 1, 2023
Last updated
Jun 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1105 Sunset Ave
Manhattan, KS 66502-3739

Phone 316-393-5467

Mailing address

1105 Sunset Ave
Manhattan, KS 66502-3739

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